HomeMy WebLinkAbout97-6421
BUILDING PERMIT NO
CITY OF ZEPHYRHILLS Permit.
(813) 788-6611
6421/1
Rb - 0-0
Date
/ - ,;) [J-97
BUILDING
PLUMBING
20. crD
<:MECHANICAO Sewer Conn
Water Conn:
Pmperty Owno" jj~ h
Job Address: .38-) / . ~ j A--
Water Meter:
T.I.F.'s:
Parcell.D. #
Zoning: Energy Code:
Description of work----f! ..(A..) +/ C
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
.;;)-Jf--9
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee --5'-0 - o---c.}
Signature ~~/7t/ ~-
Company .
Address
Telephone#
Valuation or ~ /
Contract Price D) (TV. 0-0
City License Registration # ~ I
State Certified License#
BUILDING
~j({~~9
ELECTRICAL
(J f)t1Yt~
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Con st. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERKIT
CITY OF ZEPHYRBILLS
BUILDING DEPARTMENT
OWNER'S NAME
8/1 h b I.' ft5
') '( / /? Vv;'/1 te/ /)y-;
PHONE / r? -/,0 ff 3
te'f'4r4;,/ri pL J 55<'( /
OWNER'S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I.D.' (OBTAIN FROH PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition --Alteration -..:Repair .,k-Install
_Sign
-'love
_Deaolish
PROPOSED USE: _Single Faaily
_H/F
_' of Units _K/H
_ec:-ercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Department Approval
DESCRIPTION OF WORK: j ~ ,t; f",. If jJ H r)., "'7C! / /1;'/(0 '7/ ~/fh E/~T f:I(?,y t
BUILDING SIZE: X Square Feet, Height
RESIDENTIAL:
COMMERCIAL
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS,
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
_BUILDING
$ "J-, I (J /)
I
~r? AKP Service Florida Power Corp.
$ i;( ~!; I, 5?~ Valuation of _leal IDstallation
J GAS ROOFING SPECIALTY
PERKITS REOUESTED
Valuation of Total Construction
x:=
W.R.E.C.
PLUMBING
- .
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FIliISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BUTI.DER
COMPANY
State Cert. or Regist. .
City License Registration I
.................:::::::~~.;:~.~~<:
State Cert. or Regist. f lCJl., 0 t ll2 ~
City License Registration' ~,
******************************************
Signature
:::~~
PLUMBER
Signature
COMPANY
State Cert. or Regist. I
City License Registration .
******************************************
~ COMPANY I />(;'7/li.d"
\. \ State Cert. or Regist. , ('0
1 ~~ j City License Registration .
********* **************************
Signature
,.
MECHANICAL /-
I
OTIIRR
COMPANY
State Cert. or Regist. ,
City License Registration #
******************************************
Signature
APPLICATION APPROVED BY
PERKIT OFFICER,
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pertit lay be subject to "deed restrictions" which Jay be lOre restrictive than City
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor JaY be
cited for a lisdeJeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing
requireJents JaY apply for tbe intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813)
788-6611.
FurtherlOre, if the owner bas hired a contractor or contractors, be is advised to have the contractor(s) sign portions of the
"Contractor Sections" of this application for whicb they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that JaY be an indication that he is not properly licensed and is not entitled to perJitting privileges in the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOJeOWDer's Protection
Guiden prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is sOJeOne other than the
nowner", I certify that I have obtained a copy of the above described docUJeDt and prOlise in good faith to deliver it to the
"owner" prior to cOll8llceJent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land develo.-ent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforJed to leet standards of all laws
regulating construction, City codes, zoning regulations, and land develo.-ent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goveI1lleDtal agencies Jay apply to the intended wort, and that it is
IY responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to:
* Departaent of EnviroDJeDtal Regulation - Cypress Bayheads, Wetland Areas and EnviroDJeDtally Sensitive Lands,
Water/Wastewater Treataent
* Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* Arty Corps of Engineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health & Rehabilitative Services, EnvirODlental Health Unit - Wells, Wastewater TreatJent, Septic Tants
* US EnvirODlental Protection Agency - Asbestos abateJent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a .cOlpensating VOlUlen will be subJitted whicb is prepared by a professional engineer registered in the State of
Florida p'rior to perlit. issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
Bet aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frOl thereafter
requiring a correction of errors in plans, construction, or violations of any code. Every pertit issued shall beCOle invalid
unless tbe work authorized by such pertit is cOllenced lIithin six IOnths of issuance, or if 1I0rk authorized by tbe perlit is
suspended or abandoned for a period of six IOntbs after the tile the IIOrk is co.enced. One 90 day extension of tile, JaY be
allowed for the pertit with fee charge of $15.00. The extension shall be requested in IIriting to tbe Building Official. An
approved inspection lUst be logged during each sil IOnth period, or the project lIill be considered abandoned.
NARHIHG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHENCEMBMI HAY RESULT IN YOUR PAYING NICE FOR IHPROVBMmS TO YOUR
PROPERTY. IF YOU IlffElfD TO OBTAIN FINAHCIHG, CONSULT WITH YOOR LIlfDER OR AI AnoRm BEFORE RECORDING YOUR NOTICE OF
COHHENCEHRlfT. JOBS UNDER $2,500 IN VALUE 00 NOT NEED '1'0 RECORD AJfD POST A "NOTICE OF COHHBHCEHElff".
SIGNATURE: OIIHER OR AGElff
SIGNATURE: COlffRACTOR
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19____ by
STATE OF FLORIDA
coum OF
The foregoing instrument was acknowledged
before me this , 19_____ by
who is personally known to me or who has
producednas identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
OWNER
/~
t 1.../ d
,. / . -1- + ,.
b 7 I I )
7ft/I)
'vv'-1 j(' / L/r Z ~;,tfl ~ /J. '1/~ · ?, >5 C( ;
~
JOB LOCATION
PARCEL 1.0. .
SHOW ALL EXISTING' PROPOSID STRUCTURSS-GIVING DIHENSIONS , SETBACKS.
/J~~
/Y tZ4//
I-,))J/ Cf1
;J.T O,N
-W-kv/
-~
I ;J~ V0
c )
Lt:J~ [)(?efJ
fJ J- /-- v./' ,,/ e
7 /1\.
"-
Ac
I-~
/",3
, I
I
I
I
1
UTILITY BUILDINGS
HUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
~
011-
.
FRONT PROPIRTY LINE
.
.~-
(NOTE EXAMPLES 1 & 2) STREET
1, SETBACKS FOR Rl, R2 ZONING
60'
2. SETBACKS rOR R3 ZONING
60'
10'
P E-
R X
0 I
10~ P S 10'
0 T
S I
E N
D G
20'
1 0'
. 10'
.'
10' EXISTING' 10'
PROPOSED
,.
20.' SGL FAN JO'DUPLEX
I
.1
1 O'
.'
. .
". . E:RONT PROPERTY LINB
fRONT PROPERTy'LINB
FOR CA~PORTS QR Ll~~ ~TRUCTURE~ PL~ASE. COMPLETE TijE FOLLO~I"G~
(1) DESCRIBE WHAT TYPE: 'FREE' STANDING OR ATTACHED (CIRCLE ONE).
(2) IF ATTACHED, HOW IS IT TO Bt fASTENED TO STRUCTURE?
(3) DESCRIBE POST SPACING' FASTENING (If TO CONCRETE, IN WHAT HANNER?)
(4) GIVE DIMENSIONS OF CARPORT LENGTH, WIDTH, & HEIGHT:
(5) GIVE AMOUNT OF OVERHANG FROM STRUCTURAL SUPPORT:
(6) COMPLY WITH REQUIRED SETBACKS AS GIVEN IN ABOVE REFERENCED PLOT
PLAN.
~.. i:'
..
Pro.poaal
O'Donovan's Air-conditioning and Heating
6610 16th St.
Zephyrhills Fl.33540
Phone: 782-4075
January 27, 1997
To: Babbitts
38117 Winter Dr.
Zephyrhills Fl.
Ph:783-1083
Estimate to install two ton packaged airconditioner with
~ K.W. Heil system.
to.
10 SEER Heil
$2,100.
11 SEER if available.
One year warranty on labor. Five year warranty on parts
roofor Heil. Five year warranty on compressor.
Price includes thermostat, slab, ductwork, electrical and
taxes.
The above prices, conditions and specifications are hereby
accepted. You are authorized to do the work as specified.
Payment will be made as outlined above.
Accepted: Date:
;/R)~?
Sig~c. ~~:i